Do I Need Help?

I'm a 21 year old medical student. Recently I don't know what's happening to me. I am going to have an important exam soon. Since approximately one month the whole night i keep on dreaming. I am unable to have a deep sleep. I argue with my boyfriend over stupid things. I get angry over things that hardly matter and I tend to hurt myself when I am angry. An example is giving a punch to the wall or something like that. Then I cry a lot and I calm down. Do I need help or am I just stressed because of my exams?

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